Class in psychodynamic theory,research and practice

Class is a generally neglected topic within the psychotherapeutic and counselling worlds, and has not benefitted from the psychoanalytic and psychodynamic thought arising from contemporary critiques concerning gender, sexuality, and race. The article presents an overview of my researches over many years in an attempt to formulate the different ways in which considerations of class may impinge on practices and theories in the therapeutic professions. I use a clinical vignette to identify class related issues that may arise within the consulting room, and relate these to wider aspects of the intersections of class with therapy and counselling.     

Three fragments on trauma and time

How does trauma influence a client and a therapist’s experience of time in time-limited therapy? The therapist must first work to understand and remain responsive to the different registers of time now operative following the traumatic event. This paper contends that in the immediacy of trauma, hallucinatory wish-fulfilment oblivious to the structuring conditions of time and space appears to dominate. In chronic traumatic states, time appears to circle in a narrow compass, buffering between a cluster of moments surrounding and including the moment of traumatic rupture – as if struggling to re-establish a secure connection with linear time. The three clinical fragments presented attempt to describe different experiences of traumatic bereavement and the felt movement of time within them. The death of another confronts us not only with their loss but with our own mortality – the time we have lived and the time we have left. It is not surprising, therefore, that an individual's otherwise fluid transitions between different temporalities are disturbed in the aftermath of traumatic bereavement. The therapist’s capacity to regulate tempo when the client’s subjective experience of time is dysregulated offers an important means of containment. The aim of the therapist working with the traumatically bereaved client is to develop collaborative understanding to get thinking moving again and to gradually help the client unpin time, moving it beyond the confines that it occupies in trauma.     

妇产科实习生缺乏"活标本"的现状思考

近来,医学院校妇产科实习生面临着"活标本"缺乏的一大难题,主要是受高校扩招、病人及家属的传统观念及患者维权意识提高等方面的影响.可通过以下途径解决这个问题:合理配置教学资源、加强医学科学宣传,运用立法、司法程序等.     

法医学鉴定循证实践的局限性及其对策

循证法医学实践尚处于起步阶段,存在循证意识薄弱、循证素养有待提高、证据资源匮乏、专业信息共享平台缺乏等局限性.要用发展的眼光看待循证法医学,知其优劣,寻找对策,将其理论辩证地应用于法医学实践中.     

Christian bioethics and the Church's political worship.

Christian bioethics springs from the worship that is the response of the Church to the Gospel of Jesus Christ. Such worship is distinctively political in nature, in that it acknowledges Christ as Lord. Because it is a political worship, it can recognize no other lords and no other prior claims on its allegiance: these include the claims of an allegedly universal ethics and politics determined from outside the Church. However the Church is called not just to be a contrast society, but also to witness to the freeing of the world from salvific pretensions in order that it may embrace its proper temporality. The implications of this for the distinctiveness of Christian bioethics are brought out in three movements: first, the Church's itself learning how it is to conceive bioethics; second, the Church's role in unmasking the idols of secular bioethics; and third, the Church's witnessing to the freeing of medicine from idolatrous aspirations.     

How to Talk to Christian Clients About Their Spiritual Lives: Insights From Postmodern Family Therapy

Responding to literature calling for the integration of Christian spirituality and postmodern thinking, this article presents a more specific discussion of how postmodern family therapy approaches can be used to open therapy to the spiritual lives of Christian clients. In this article, postmodern family therapy approaches are described and the compatibility of postmodern family therapies and Christian thinking are examined. Finally, we see how a clinical practice based upon postmodern ideas can provide pastoral counselors with useful tools for talking with Christian clients about their spiritual lives. P. Gregg Blanton is Professor of Human Services at Montreat College. He is affiliated with the Pastoral Counseling and Growth Center in Asheville, NC.     

Scientists in the Swamp: Narrowing the Language–Practice Gap in Community Psychology

As a confluence of unique values and activities, the collective practice of community psychology is difficult to characterize in a simple way. Increasingly, however, professional contexts are laden with pressure to define any practice—from library work to medical interventions—in the orderly, compact language of traditional science. This trend has historically been resisted in the field by those sensing a fundamental lack of fit between the fluid, emergent aspects of community psychological practice and the fixed, precise language of classic science. In response to this “language–practice gap,” some have attempted to adapt the traditional language of science to better fit the field's practice, while others have explored alternative languages of practice seemingly more indigenous to the messy “swamp” of actual communities. While the former effort leaves some theoretical contradictions intact, the latter tends to discount scientific identity entirely. This paper proposes a potential step forward by resituating questions of disciplinary language and identity within a current philosophical discourse where the nature of social science itself remains sharply contested. This suggests shifting attention away from “should we be a science?” to “what kind of science might we be after all?”; in turn, alternative languages may be re‐cast as legitimate contributors to a kind of science more authentic to human communities—even a viable “science in the swamp.” One such language–philosophical hermeneutics—is presented as a particularly valuable supplement to traditional science. Illustrations highlight ways that hermeneutics may advance the formal language of the field towards a closer fit of what actually happens in practice, while preserving and even bolstering the empirical rigor and scientific identity of the field.     

Practice and forgetting effects on vocabulary memory: an activation-based model of the spacing effect

An experiment was performed to investigate the effects of practice and spacing on retention of Japanese–English vocabulary paired associates. The relative benefit of spacing increased with increased practice and with longer retention intervals. Data were fitted with an activation-based memory model, which proposes that each time an item is practiced it receives an increment of strength but that these increments decay as a power function of time. The rate of decay for each presentation depended on the activation at the time of the presentation. This mechanism limits long-term benefits from further practice at higher levels of activation and produces the spacing effect and its observed interactions with practice and retention interval. The model was compared with another model of the spacing effect (Raaijmakers, 2003) and was fit to some results from the literature on spacing and memory.     

Direct and Indirect Effects of Completion Versus Accuracy Contingencies on Practice-Exam and Actual-Exam Performance

Students in four sections of an undergraduate educational course (two large and two small sections) took out-of-class practice exams prior to actual exams for each of five course units. Each course unit consisted of five class sessions focusing on a specific developmental theme. Some sections received practice-exam credit based on the number of items completed, whereas other sections received practice-exam credit based on the number of items answered accurately. The contingencies were applied only to the practice exams. A two-way MANOVA included two independent variables (practice-exam contingency and group size) and two dependent variables (practice-exam performance and unit-exam performance). The analysis revealed a main effect for both independent variables across both dependent variables, with students performing better under the accuracy than the completion contingency and better in the small than the large groups. One exception to this overall pattern was a non-significant difference between the large and small groups on the practice exams across both contingencies.     

Heidegger’s resonance with engineering: The primacy of practice

This paper describes how some aspects of Martin Heidegger’s philosophy resonate strongly with an engineering outlook. He argued that practice was more “primordial” than theory, though preserving an important role for theoretical understanding as well, thus speaking to the gap between engineering education (highly theoretical) and engineering practice (mostly empirical). He also underlined the reality of “average” practices into which we are socialized, though affirming the potential for original work and action too, thus providing the grounds for self-actualization whether within the routine or in transcending it. His notion of “thrownness” emphasizes the importance of context, with which engineers are constantly engaged. While all this relates to the idea of our “being”, Heidegger also dealt with the influence of time on our practices. Future death could be seen as spurring innovation, cultural history as a source for critiquing current practice and the present “situation” as the immediate context for corrective action. His major book is appropriately called “Being and Time”.¹